Student Application (English)

Thank you for your interest in tutoring with the Kids At Heart program! The Kids at Heart Program provides tutoring and mentoring services for low-income students in grades Kindergarten through 12th grade. Clients can receive virtual tutoring services or in-person tutoring at partnering tutoring sites. Volunteers commit to tutoring one student for a minimum of one hour a week during the academic school year.

Step 1. Fill out the Application Form
If you are enrolling multiple children into the program, please submit one applications per student. All information collected is confidential. Demographic information is only used in aggregate and to inform funders. UPLIFT does not discriminate on the basis of any identity group.

Step 2. Phone Interview with UPLIFT
After submitting this online form, the UPLIFT Student Services Manager will reach out to the guardian to confirm the information. The UPLIFT Student Services Manager will search for an available tutor that will be a good fit and notify the guardian when one has been identified.

Step 3. Complete the Student Assessment & Schedule Tutoring
When a tutor has been identified to work with the student, the UPLIFT Student Services Manager will schedule a student reading assessment, and coordinate the start date for tutoring.

I agree to the following: Required

I attest to being the legal guardian of this student named above. I hereby allow them to participate in all activities and functions scheduled for the Kids At Heart tutoring program. I give consent to UPLIFT San Diego to view and copy all school records pertaining to my child. I understand and agree to my child spending time and interacting with an UPLIFT volunteer for tutoring services.

PUBLICITY RELEASE: I consent on behalf of my child to allow UPLIFT, and by extension UPLIFT’s community partners such as the San Diego Council on Literacy and Live Well San Diego, to use my child’s image and likeness for promotional and marketing materials including, but not limited to, brochures, presentations, newsletters, and social media posts.

CONFIDENTIALITY AND MANDATED REPORTING: I understand that all information pertaining to my child is confidentially between UPLIFT staff, the guardian, the school, and the assigned volunteer tutor. Child information is confidential except in instances of child abuse, elder abuse, an intent to harm oneself, or an intent to harm others.

TERMS OF SERVICE: I pledge to (1) ensure my child attends all tutoring sessions and will notify UPLIFT if my child will be absent, (2) ensure my child’s preparedness by bringing their homework, and (3) encourage my child to participate, exhibit good behavior, and follow all program policies and procedures at all times.

KIDS AT HEART | STUDENT APPLICATION

Student Information

Primary Guardian Information

Tutoring Preferences: UPLIFT matches Students seeking services with the most appropriate volunteer available. This section involves your preferences as a client. Please select all that apply. These preferences are compared with volunteer preferences and are not guaranteed.

Emergency Contact Information

CLIENT TERMS OF SERIVCE: Please check each box corresponding to each statement, agreeing to the UPLIFT Client Terms of Service, and provide an electronic signature.